5 Star Family Dental

LBN: 5 Star Family Dental
5 Star Family Dental is an health care organization with primary practice located at 615 E 162Nd St , South Holland IL 60473-2329. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 5 Star Family Dental can be contacted via phone (708) 331-1900, or through Fatland, Kevin Lloyd via phone (708) 990-7869.

Contact Information

Primary practice address
615 E 162Nd St South Holland IL 60473-2329
Fax:
Website:
Authorized official contact:
Name: Fatland, Kevin Lloyd Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019025070 Illinois

Profile Details

NPI number 1013462175
LBN Legal business name 5 Star Family Dental
DBA Doing business as
Authorized official Fatland, Kevin Lloyd Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2016
Last updated Feb 3rd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers